Dental Specialists of North Florida LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN7967 Issued in FL

Legal business name

DENTAL SPECIALISTS OF NORTH FLORIDA LLC

Practice address

3 Cypress Branch Way
Suite C
Palm Coast, FL 32164-8409

Phone

(386) 445-4242

Fax

(386) 445-4247

NPI assigned

Mar 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Roy Thousand Jr., D.D.S.

Title

Owner/Periodontist

Phone

(386) 445-4242

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1265756571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CYPRESS BRANCH WAY",
            "address_2": "SUITE C",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648409",
            "telephone_number": "386-445-4242",
            "fax_number": "386-445-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CYPRESS BRANCH WAY",
            "address_2": "SUITE C",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648409",
            "telephone_number": "386-445-4242",
            "fax_number": "386-445-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF NORTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "THOUSAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "386-445-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN7967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cockrell Demoville, P.T.
• Megan Dempsey, COTA
• Dennis T Alter MD PA
• Alexandria Laneccea Dennis
• Dorothea Michelle Denson
• Dermatology Associates of Northeast Florida, PA
• Julia Desalvo
• Emany Jenesis Desinor
• Devindale Inc
• Kimberly Devine, LCSW

• Periodontics in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.